Individual provider · Type 1 NPI

Micaela Kathleen Caudillo

Student in an Organized Health Care Education/Training Program · West Covina, CA

NPI number 1417620592 Active

Practice location

1215 W. West Covina Parkway
West Covina, CA 91790

Call (626) 974-0770 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417620592

Micaela Kathleen Caudillo's National Provider Identifier is 1417620592, issued on Jul 26, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in West Covina, CA. The record was last updated on Aug 3, 2021.